Peng Z L
West China University of Medical Sciences, Chengdu.
Zhonghua Fu Chan Ke Za Zhi. 1993 Jun;28(6):346-8, 381.
One hundred and fifteen patients with stage I cervical cancer were operated and studied retrospectively. By comparing the original standard of stage Ia (stromal invasion less than 3mm) and the new FIGO definition and analysing the relationship among stage of the cancer, lymphatic metastasis and prognosis, no lymphatic metastasis was found in 25 cases of original stage Ia, and no recurrence during the five year's follow up. There were five cases with lymphatic, metastasis in 42 cases of new FIGO definition and 3 cases recurred and died during the five year's follow up. It is pointed out that the new FIGO definition of stage Ia fails to provide guidelines for choice of treatment and can not differentiate the stage I a1 and stage I a2. If 3mm stromal invasion can be used as a criteria to differentiate stage I a1 and I a2, then we may have a clear and acceptable standard which may be helpful for the choice of treatment.
对115例I期宫颈癌患者进行了手术并进行回顾性研究。通过比较原来的Ia期标准(间质浸润小于3mm)和新的国际妇产科联盟(FIGO)定义,并分析癌症分期、淋巴转移与预后之间的关系,原来的Ia期25例未发现淋巴转移,随访5年无复发。新FIGO定义的42例中有5例发生淋巴转移,随访5年中有3例复发死亡。指出新的FIGO Ia期定义未能为治疗选择提供指导,也无法区分Ia1期和Ia2期。如果将3mm间质浸润作为区分Ia1期和Ia2期的标准,那么我们可能会有一个清晰且可接受的标准,这可能有助于治疗选择。